Neuropsychological Services of Texarkana PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC

Practice address

5411 Plaza Dr Ste E
Texarkana, TX 75503-1667

Phone

(903) 255-0171

Fax

(903) 255-0172

NPI assigned

Oct 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Smith, PSY.DNPI 1306834015

Title

Owner

Phone

(903) 255-0171

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan E Smith, PSY.D.

  • Clinical Neuropsychologist
  • Texarkana, TX
  • NPI 1306834015
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1104392067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 PLAZA DR STE E",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031667",
            "telephone_number": "903-255-0171",
            "fax_number": "903-255-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 PLAZA DR STE E",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031667",
            "telephone_number": "903-255-0171",
            "fax_number": "903-255-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL SERVICES OF TEXARKANA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-255-0171",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEUROPSYCHOLOGIST",
            "identifier": "1306834015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan J Wright MD PA
• Jennifer Neal, COTA
• Nec Texarkana Emergency Center
• Nelson Nunez DMD PLLC
• Russ Todd Nelson, LPT
• Neurosurgical Associates of Texarkana
• Neurosurgical Associates of Texarkana
• Neurosurgical Associates of Texarkana, Inc.
• Gregory Nevels
• Hiliary Neville, NP-C

• Clinical Neuropsychologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.